Understanding Watery Eyes (Epiphora)

A Patient's Guide to Causes, Symptoms, and Treatment Options

Family Medicine

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Last updated: Mar 24, 2025

What Are Watery Eyes?

Watery eyes, or epiphora, occur when your eyes produce excessive tears or when tears cannot drain properly. This condition can affect one or both eyes and may cause blurred vision, irritation, and social discomfort.

Common Causes

Blockage-Related Causes:

  • Blocked tear ducts
  • Eyelid problems (entropion or ectropion)
  • Narrowed tear drainage channels

Irritant-Related Causes:

  • Allergies
  • Foreign objects
  • Eye infections
  • Wind or smoke exposure
  • Contact lens irritation

Symptoms

  • Constant or frequent tearing
  • Tears rolling down cheeks
  • Blurred vision
  • Redness around eyes
  • Eye irritation
  • Light sensitivity

When to See a Doctor

Seek medical attention if:

  • Watering persists for more than 2 weeks
  • You experience pain or vision changes
  • There's discharge from the eye
  • You have recent eye injury

Treatment Options

Conservative Measures:

  • Warm compresses
  • Gentle eye massage
  • Regular eye cleaning
  • Artificial tears for underlying dryness

Medical Treatments:

  • Antibiotic drops for infections
  • Antihistamines for allergies
  • Surgery for blocked tear ducts
  • Eyelid surgery when necessary

Prevention Tips

  1. Protect eyes from irritants
  2. Practice good eye hygiene
  3. Use appropriate eye protection
  4. Manage underlying conditions

Complications

Untreated watery eyes may lead to:

  • Chronic eye irritation
  • Vision problems
  • Skin irritation
  • Increased risk of infection

Self-Care Measures

  • Keep eyes clean
  • Avoid rubbing eyes
  • Use clean tissues to dab tears
  • Follow proper contact lens care

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